Ayoola, Eniola

Ayoola, Eniola is an individual health care provider with primary practice located at 10250 Se 167Th Place Rd Unit 5 , Summerfield FL 34491-8682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ayoola, Eniola can be contacted via phone (352) 307-9925.

Contact Information

Primary practice address
10250 Se 167Th Place Rd Unit 5 Summerfield FL 34491-8682
Phone: (352) 307-9925
Fax: (352) 307-8442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104349 Florida

Profile Details

NPI number 1972786358
LBN Legal business name Ayoola, Eniola
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972786358 NPPES
Florida MEDICAID 001558000

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